JACOB DEESE PT, DPT, ATC
NPI 1073047759
Physical Medicine & Rehabilitation - Sports Medicine in Pineville, NC

Q: What is Jacob Deese's NPI number?

The NPI number for Jacob Deese is 1073047759. It was assigned to this individual provider in the NPPES registry on April 19, 2017.

Q: What is Jacob Deese's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Deese was last updated on February 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 19, 2017Accepts Medicare Assignment

13333 DORMAN RD, PINEVILLE, NC 28134(704) 716-1024 Get Directions Write a Review

NPPES record last updated: February 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 9, 2021, Apr 19, 2017 (2 updates tracked since 2017).

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About Jacob Deese Pt, Dpt, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB DEESE PT, DPT, ATC (NPI 1073047759) is an individual sports medicine provider in Pineville, North Carolina, licensed in North Carolina (P20196) and active in the NPI registry since April 2017. He maintains a secondary practice location in Marshville and is a graduate of Other (2020).

NPPES Registry Identity

NPI1073047759

Entity TypeIndividualMale

Primary Taxonomy2081S0010X

Provider Legal NameJACOB DEESECredential: PT, DPT, ATC

Location Address13333 DORMAN RDPineville, NC 28134-9336

Mailing Address6527 Olive Branch RdMarshville, NC 28103-9606

Phone(704) 716-1024

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 19, 2017

Last NPPES UpdateFebruary 9, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2021

✔ NPI 1073047759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081S0010X

License✔ Licensed in NC · P20196

Definition

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License LAT-2888 (NC)

13333 DORMAN RD, Pineville, NC 28134

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Secondary Practice Location 1

Location 16527 Olive Branch RdMarshville, NC 28103-9606 · Phone (704) 624-3395

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Deese Pt, Dpt, Atc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911314711

PECOS Enrollment IDI20210323001140

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

154 services15 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

125 services14 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

101 services14 patients

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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL PROMUTICO DPT

Physical Therapist